2) Relying on administrative and regulatory changes by Health and Human Services Secretary Tom Price
3) A second bill, which could include things like selling health insurance across states lines, and more - but that would most likely need 60 votes to get through the Senate.
Ryan's push came about two hours before a second House committee wrapped up work, and approved a portion of the GOP health bill, getting the plan past the first two legislative hurdles in the Congress.
Next week, the measure is expected to go before the House Budget Committee - as lawmakers await cost estimates from the Congressional Budget Office.
If you're wondering about what GOP lawmakers are being told about the plan, here's part of a presentation on the health bill that was being made available on Capitol Hill:
While Ryan was making the case in public, behind the scenes, the President has been lobbying key lawmakers as well, cajoling them to stick with the Republican health effort.
Mr. Trump will host a group of GOP lawmakers at the White House - having them over for some bowling (yes, there is a bowling alley there).
But there still are deep concerns among conservatives, such as the members of the House Freedom Caucus, who could conceivably sink the GOP bill if they stuck together against it.
Even some GOP Senators have expressed their worries in public as well.
"Get it right," said Sen. Tom Cotton (R-AR).
Democrats immediately seized on that tweet from Cotton, along with any other evidence of GOP division, trying their best to stop the Republican health reform push.
Meanwhile, President Trump will be back on the road next week to sell the work of his administration - and presumably this push on health care.